NUR502 Maternal Nursing L4 Student PDF

Second Stage of labour – Nursing interventions and care for Normal Vaginal delivery Summary: 1. Conduct a vaginal delivery 2. Always encourage and instruct the client to push during each contractions to facilitate the delivery 3. Continuously monitor uterine contraction and FHR using the c...

Second Stage of labour – Nursing interventions and care for Normal Vaginal delivery Summary: 1. Conduct a vaginal delivery 2. Always encourage and instruct the client to push during each contractions to facilitate the delivery 3. Continuously monitor uterine contraction and FHR using the cardiotocograph (CTG) for abnormalities 4. Observe the maternal condition for signs of maternal distress 5. Immediate care of newborn baby, make interventions if needed 5 https://parentingexpert.co.uk/how-painful-is-childbirth/ Immediate care of newborn Although most newborn babies require only simple supportive care at and immediately after delivery Immediate care of the newborn is essential for the survival of the babies. 5 Major Principles: Maintaining airway patency Maintaining thermoregulation Promoting bonding/initiating breastfeeding https://www.sciencephoto.com/keyword/vaginal-delivery Ensuring proper identification Identifying actual/potential problems that require immediate attention Apgar scoring (AS) will have After delivery : do - I total marks Apgar scoring system & I mins G2 time is The Apgar score (AS) of the newborn are assessed at 1 minute and 5 minutes of life. It is an indicator and use to evaluate the newborn adjustment to extrauterine life. ~> Airway a It is not used to determine the need for initial resuscitation. If resuscitation is required, it should be initiate before the 1-minute Apgar score ↑ RETB F1PTAB I NOT Simple EFFE - = Stimulation - https://www.bellybelly.com.au/baby/apgar-score/ ↓ start Resuscitation if 0-314-6 : then 1st mins + 3 ins- > 5 mins  Newborn’s circulation right after cord clamping and cutting brain & Liver [5 * Closing of shunts on clamping the umbilical cord: 1) Ductus arteriosus 2) Foramen ovale 3) Ductus venosus Oxygenated blood will flow to infant’s lung and liver, take over the newborn’s circulation 28 Davidson et. al. (2012)